Ms Liezel Granzon Tan, OTR/L - Occupational Therapist in Chicago, IL

Ms Liezel Granzon Tan, OTR/L is a Occupational Therapist based in Chicago, Illinois. Ms Liezel Granzon Tan is licensed to practice in * (Not Available) (license number ) and her current practice location is 3919 W Foster Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (773) 588-9500.

NPI number for Ms Liezel Granzon Tan is 1700440716 and her current mailing address is 2629 W Howard St, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700440716.

Contact Information

Ms Liezel Granzon Tan, OTR/L
3919 W Foster Ave,
Chicago, IL 60625-6056
(773) 588-9500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Liezel Granzon Tan
GenderFemale
SpecialityOccupational Therapist
Location3919 W Foster Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700440716
  • Provider Enumeration Date: 04/24/2019
  • Last Update Date: 04/24/2019

Medical Identifiers

Medical identifiers for Ms Liezel Granzon Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700440716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Liezel Granzon Tan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Liezel Granzon Tan, OTR/L
2629 W Howard St,
Chicago, IL 60645

Ph: (773) 505-8091
Ms Liezel Granzon Tan, OTR/L
3919 W Foster Ave,
Chicago, IL 60625-6056

Ph: (773) 588-9500

Reviews and Comments


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